TMD and orofacial pain: curricular perspectives of dental schools in Southeast Brazil

Authors

  • Luan Viana Faria Universidade Federal de Juiz de Fora https://orcid.org/0000-0003-2336-9946
  • Yuri de Lima Medeiros Faculdade de Odontologia, Universidade Federal de Juiz de Fora
  • Danielle Fernandes Lopes Faculdade de Odontologia, Universidade Federal de Juiz de Fora
  • Braz Campos Durso Centro Universitário Governador Ozanam Coelho - UNIFAGOC

DOI:

https://doi.org/10.34019/1982-8047.2020.v46.30348

Keywords:

Education, Dental, Ofacial Pain, Temporomandibular Joint, Curriculum

Abstract

Introduction: Orofacial pain (OD) and temporomandibular disorders (TMD) have a high prevalence in the population, causing great suffering for patients. To train general practitioners able to recognize and treat such disorders, it is necessary that Higher Education Institutions (HEIs) offer this content satisfactorily during graduation. Materials and Methods: The research sample consists of all Dentistry Faculties in southeastern Brazil in operation in March 2019, which had active and accredited courses on the e-MEC portal of the Ministry of Education of Brazil, and which provided access to the matrix curriculum through online tools (official website or email). The data were analyzed using the GraphPad Prism 5.0 program. Results: Of the 176 HEIs in the southeastern region, 144 (81.8%) were included in the study because they met the inclusion criteria. Of these, only 36% have disciplines related to TMD and OD in their curricular matrices, being offered more in public (52.6%) than private (33.6%) HEIs, for p = 0.1275. Regarding the nature of the discipline, it is predominantly mandatory in private HEIs, and not mandatory in public HEIs (p = 0.0073). As a positive aspect, it was observed that in relation to the type of content covered, theoretical-practical disciplines are addressed in most institutions (59.37%). The average workload (CH) of the discipline is 58.98h (SD = 20.37), being higher in public HEIs. Conclusion: Our results demonstrate that the majority of Dentistry courses in southeastern Brazil do not offer TMD and DO disciplines, especially private HEIs, which contributes to the training of professionals unprepared to deal with these patients.

 

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References

Leeuw R., Klasser G.D. Orofacial pain: guidelines for assessment, diagnosis, and management. 6. ed. Hanover Park: Quintessence; 2018.

American Association of Orofacial Pain. What Is Orofacial Pain. [Citado em 2020 Feb 10]. Disponível em: https://aaop.clubexpress.com/.

Okeson, JP. Management of temporomandibular disorders and occlusion. 8. ed. St. Louis: Elsevier; 2020.

Macfarlane TV, Glenny AM, Worthington HV. Systematic review of population-based epidemiological studies of oro-facial pain. J Dent. 2001; 29(7):451-67. doi: http://dx.doi.org/10.1016/s0300-5712(01)00041-0

Lima CO, Miranda JS, Caetano PL, Malta NV, Leite IG, Leite FPP. Evaluation of the life quality in patients with temporomandibular disorders. Braz Dent Sci. 2015; 18(3):77-83.

Alonso AA, Heima M, Lang LA, Teich ST. Dental students' perceived level of competence in orofacial pain. J Dent Educ. 2014; 78(10):1379-87.

Borromeo GL, Trinca J. Understanding of basic concepts of orofacial pain among dental students and a cohort of general dentists. Pain Med. 2012; 13(5):631-9. doi: http://dx.doi.org/10.1111/j.1526-4637.2012.01360.x

Greenwood L, Lewis D, Burgess R. How competent do our graduates feel? J Dent Educ. 1998; 62(4):307-13.

Ministério da Educação (BR). Portaria Normativa nº 21, de 21 de dezembro de 2017. [Citado em 2020 Feb 10]. Diário Oficial da União. 2017; 245:29. Disponível em: http://www.in.gov.br/materia/-/asset_publisher/Kujrw0TZC2Mb/content/id/1284644/do1-2017-12-22-portaria-n-21-de-21-de-dezembro-de-2017-1284640-1284640.

Ministério da Educação (BR). Cadastro e-MEC de Instituições e Cursos de Educação Superior. [Citado em 2019 Mar 6]. Disponível em: http://emec. mec.gov.br/.

Espinosa IA, Pérez EM, Gonzalez YM, Corona A. Assessment of knowledge on temporomandibular disorders among Mexican dental educators: evauación del conocimiento sobre trastornos temporomandibulares en docentes de odontología en México. Acta Odontol Latinoam. 2016; 29(3):206-13.

Tegelberg A, Wenneberg B, List T. General practice dentists' knowledge of temporomandibular disorders in children and adolescents. Eur J Dent Educ. 2007; 11(4):216-21. doi: http://dx.doi.org/10.1111/j.1600-0579.2007.00458.x

Hadlaq EM, Khan H, Mubayrik AB, Almuflehi NS, Mawardi H. Dentists' knowledge of chronic orofacial pain. Niger J Clin Pract. 2019; 22(10):1365-71. doi: http://dx.doi.org/10.4103/njcp.njcp_110_19

Nordin S, Dawson A, Ekberg EC. achieved competencies and satisfaction in temporomandibular disorders and orofacial pain education. J Oral Facial Pain Headache. 2016; 30(2):156-64. doi: http://dx.doi.org/10.11607/ofph.1471.

Reissmann DR, Behn A, Schierz O, List T, Heydecke G. Impact of dentists' years since graduation on management of temporomandibular disorders. Clin Oral Investig. 2015; 19(9):2327-36. doi: http://dx.doi.org/10.1007/s00784-015-1459-7

Attanasio R, Mohl ND. Suggested curriculum guidelines for the development of predoctoral programs in TMD and orofacial pain. J Craniomandib Disord. 1992; 6(2):113-6.

Attanasio R, Mohl ND, Stockstill JW. The first and second educational conferences to develop the curriculum in TMD and orofacial pain. J Craniomandib Disord. 1992; 6(2):101–2.

Stockstill JW. Curriculum outline for adjunctive predoctoral education in TMD and orofacial pain. J Craniomandib Disord. 1992;6(2):117–122.

Mohl ND, Attanasio R. The third educational conference to develop the curriculum in temporomandibular disorders and orofacial pain: introduction. J Orofac Pain. 2002; 16(3):173-5.

Nilner M, Steenks M, deBoever J, Ciancaglini R, Ko¨no¨nen M, Orthlieb JD. Guidelines for curriculum of undergraduate education in orofacial pain and temporomandibular disorders in Europe. J Orofac Pain. 2003: 17:359-62.

Nilner M; Educational Committee, European Academy of Craniomandibular Disorders. Curriculum guidelines for orofacial pain and temporomandibular disorders: European Academy of Craniomandibular Disorders. Eur J Dent Educ. 2001; 5(3):136-8. doi: http://dx.doi.org/10.1034/j.1600-0579.2001.050308.x

Brasil. Lei n° 9.394/1996. Lei de diretrizes e bases da educação nacional. Brasília: Câmara dos Deputados; 1996. [Citado em 2019 Nov 20]. Disponível em: https://www2.camara.leg.br/legin/fed/lei/1996/lei-9394-20-dezembro-1996-362578-publicacaooriginal-1-pl.html.

Ministério da Educação (BR). Conselho Nacional de Educação. Câmara de Educação Superior. Diretrizes Curriculares Nacionais do Curso de Graduação em Odontologia. Diário Oficial da União. 2018. [Citado em 2019 Dec 8]. Disponível em: http://portal.mec.gov.br/docman/abril-2019-pdf/111231-pces803-18/file>.

Stockstill J, Greene CS, Kandasamy S, Campbell D, Rinchuse D. Survey of orthodontic residency programs: teaching about occlusion, temporomandibular joints, and temporomandibular disorders in postgraduate curricula. Am J Orthod Dentofacial Orthop. 2011; 139(1):17-23. doi: http://dx.doi.org/10.1016/j.ajodo.2010.10.001

Klasser GD, Gremillion HA. Past, present, and future of predoctoral dental education in orofacial pain and TMDs: a call for interprofessional education. J Dent Educ. 2013; 77(4):395-400.

Klasser GD, Greene CS. Predoctoral teaching of temporomandibular disorders: a survey of US and Canadian dental schools. J Am Dent Assoc. 2007; 138(2):231-7. doi: http://dx.doi.org/10.14219/jada.archive.2007.0142

Simm W, Guimarães AS. The teaching of temporomandibular disorders and orofacial pain at undergraduate level in Brazilian dental schools. J Appl Oral Sci. 2013; 21(6):518-24. doi: http://dx.doi.org/10.1590/1679-775720130235

Faria LV, de Oliveira GA, Grázzia MEP, Medeiros Y de L, Lopes DF, Leite ICG. O ensino de implantodontia nas graduações brasileiras de odontologia: um estudo transversal. REAS. 2020; 12(4):e2672. doi: http://dx.doi.org/10.25248/reas.e2672.2020

Medeiros YL, Lopes DF, Faria LV, Soares MRPS, Silvério CCP. Ensino da Língua Brasileira de Sinais nos cursos de graduação em Odontologia do Sudeste brasileiro: um estudo transversal. Rev ABENO. 2020; 20(1):113-20. doi: http://dx.doi.org/10.30979/rev.abeno.v20i1.933

Medeiros YL, Faria LV, Lopes DF, Oliveira IS, Fabri GMC. Inserção da Odontologia Hospitalar na grade curricular dos cursos de Odontologia do sudeste brasileiro. Rev. Fac. Odontol. Porto Alegre. 2020; 61(1):87-93. doi: https://doi.org/10.22456/2177-0018.101594

Carrara S V, Conti PCR, Barbosa JS. Termo do 1º consenso em disfunção temporomandibular e dor orofacial. Dental Press Journal of Orthodontics. 2010; 15(3):114-20.

Teich ST, Alonso AA, Lang L, Heima M. Dental students' learning experiences and preferences regarding orofacial pain: a cross-sectional study. J Dent Educ. 2015; 79(10):1208-14.

Alsafi Z, Michelotti A, Ohrbach R, Nilner M, List T. Achieved competences in temporomandibular disorders/orofacial pain: a comparison between two dental schools in Europe. Eur J Dent Educ. 2015; 19(3):161-8. doi: http://dx.doi.org/10.1111/eje.12117

Gonzalez YM, Mohl ND. Care of patients with temporomandibular disorders: an educational challenge. J Orofac Pain. 2002; 16(3):200-6.

Steenks MH. The gap between dental education and clinical treatment in temporomandibular disorders and orofacial pain. J Oral Rehabil. 2007; 34(7):475-7. doi: http://dx.doi.org/10.1111/j.1365-2842.2007.01711.x

Interprofessional Education Collaborative Expert Panel. Core competencies for interprofessional collaborative practice: report of an expert panel. [Citado em 2020 Feb 10]. Washington: Interprofessional Education Collaborative; 2011. Disponível em: https://www.aacom.org/docs/default-source/insideome/ccrpt05-10-11.pdf?sfvrsn=77937f97_2.

Published

2020-09-24

How to Cite

1.
Viana Faria L, de Lima Medeiros Y, Fernandes Lopes D, Campos Durso B. TMD and orofacial pain: curricular perspectives of dental schools in Southeast Brazil. HU Rev [Internet]. 2020Sep.24 [cited 2024Jul.17];46:1-7. Available from: https://periodicos.ufjf.br/index.php/hurevista/article/view/30348

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